RAVI MURPHY
Subscriber on policy B07M000664
Claims
1
Attributed to this person
Charged
537.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
349.05
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | RAVI MURPHY |
| Role on the policy | Subscriber |
| Policy | B07M000664 |
| Date of birth | 10 May 1960 |
| Plan | BRONZE EPO |
| Covered from | 4 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 349.05 |
| Total | 349.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002765 | 10 Mar 2026 | 537.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |